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San Joaquin Public Health Services <br /> o wironm nta! uo Ith Services Report for the month of� <br /> PO Box 2009 (445 N. San Joaquin St.) <br /> Stockton, California,95209 Septic Tank and Cesspool Submitted by; <br /> � <br /> Fax: 4640138 Cleaners Report — <br /> Must be submitted by the 12th of each month Address: D_! S$3 <br /> m <br /> 0 <br /> Date Name of Property Owner Address where work was performed <br /> cO type waste <br /> o � gal. pumped disposal site <br /> N {'pSl <br /> P1k 2-60(0 CL ZlJO <br /> I. <br /> VU � - 1 <br /> 5 '�I,5 l l rlf t N <br /> Z <br /> �SOf� 5 ` G <br /> �l r <br /> It it 3o II y <br /> 14 14 <br /> 0 � � <br /> Y <br /> aVl y' 5Z l fr 2(� is r <br /> z - -- <br /> ' <br /> LU <br /> ` r7S yi �C 523) I i II Zg �, y <br /> 3Z 4 �s�tL -�.SZv 7 C>V' ZOC) u <br /> H <br /> Deg Vis SfIL ��, ✓ r� �� U N <br /> The following excerpt from the code of Federal Regulations.Section 403 "Report must he signed by a corporate officer who can legally bind the <br /> company„ e <br /> I c_e i un11jl��r�ppe� n Ity o w that this docuu7m�e�n-t7a-n7d all attachm juts were prepared u der m direction or supervision. ~ <br /> 2 k k '- <br /> rn <br /> 0 <br />